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1.
Article | IMSEAR | ID: sea-217202

ABSTRACT

The effect of brine on bacteria isolated from leafy vegetables was evaluated. Fresh waterleaf (Talinum triangulare), Pumpkin leaves (Telfairia occidentalis) and Bitter leaves (Vernonia amygdalina) including cooking salt were bought from vendors in Mile 3 market, Port Harcourt, Rivers State. Brine concentrations of 1, 2, 3, 4 and 5% were prepared by dissolving appropriate grams of salt in distilled water. Nine millilitres of the respective concentrations were transferred into clean test tubes, labelled, stoppered with foil and autoclaved at 121? for 15 minutes at 15psi. Sterile distilled water served as a control. The test isolates were standardized based on 0.5McFarland and 1mL each was introduced into different brine concentrations. The standard plate count was used to monitor brine effects on isolates and this was done hourly for six hours. Inoculated plates were incubated at 37? for 24 hours. After incubation, enumerated colonies were used to deduce isolate mortality. The total heterotrophic bacterial (THB) load of bitter, Pumpkin and water leaves were 3.49±0.4×106, 3.25±0.4×106 and 1.99±0.2×106 CFU/g, respectively. The staphylococcal counts for bitter, Pumpkin and water leaves were 1.65±0.3×104, 3.13±0.5×104 and 1.55±0.4×104 CFU/g, respectively. Total coliform counts for bitter, Pumpkin and water leaves were 1.52±0.8×105, 2.85±0.1×105 and 1.75±0.6×105 CFU/g, respectively. Staphylococcal counts of pumpkin leaves were significantly (P?0.05) higher than those obtained for bitter leaf and water leaf. There was no significant difference(P>0.05) in the THB and Coliform counts of all samples. E. coli was predominant in Pumpkin and water leaves while Staphylococcus sp was predominant in bitter leaves. The LC50 values for E. coli, Klebsiella, Staphylococcus, and Bacillus sp were; 5.39, 3.88, 1.62, and -0.41mg/ml, respectively. The LC50 showed that the brine was very lethal on Bacillus sp and Staphylococcus sp. High brine concentration is recommended to achieve reduced bacterial load.

2.
Revue Africaine de Médecine et de Santé publique ; 6(1): 138-152, 2023. figures, tables
Article in French | AIM | ID: biblio-1417203

ABSTRACT

Introduction : L'une des missions de l'Institut National d'Hygiène est de prévenir et contrôler les maladies transmissibles et autres urgences de santé publique à travers ses services compétents. En situation de crises sanitaires comme une épidémie, les besoins augmentent et alors les bénéficiaires sont exemptés de paiement pour toute intervention préventive de masse. Le paiement rentre en vigueur lorsque la demande est exprimée dans une perspective individuelle. L'objectif de l'étude était d'analyser les facteurs de la demande des prestations du service de lutte anti-vectorielle (LAV) en période épidémique de Dengue et de COVID-19. Méthodes : Une étude transversale a été réalisée de janvier 2018 à décembre 2020 dans une antenne communale, celle d'Abobo. La collecte des données a été effectuée à travers une revue documentaire et l'administration d'un questionnaire auprès du gestionnaire et des techniciens du centre. L'analyse des données a été réalisée avec le tableur Excel. Résultats : La recette cumulée du service LAV pour ces trois dernières années s'élèvait à 57 708 100 F CFA (≈ 88 103 €) avec une accentuation de l'ordre de 65,6% en 2020, année de pandémie à Covid-19. Les ménages ont été pour les trois années, les principaux demandeurs du service LAV. Leurs recettes cumulées s'élevaient à 22 663 120 FCFA (≈ 34 600 €). Les facteurs de la demande pour le service LAV étaient le lieu de résidence, le niveau d'instruction, le niveau de revenu et la source d'information. Conclusion: La pandémie à COVID 19 a favorisé une augmentation plus importante des recettes. Les gestionnaires du centre devront ajuster les objectifs de recettes en tenant compte des facteurs de la demande en service de soins préventifs.


Introduction: The National Institute of Hygiene's mission is to prevent communicable diseases andother public health emergencies. During health crises, beneficiaries are exempt from payment. The study's objective was to analyze the factors that influence the demand for vector control services during Dengue and COVID-19 epidemics. Methods: This was a cross-sectional study from January 2018 to december 2020 at the Abobo public health unit. Data collection was done through a literature review and the administration of a questionnaire. Data analysis was performed using Excel software. Results: The cumulative revenue of the LAV service for the last three years amounted to 57,708,100 F CFA (≈ 88,103 €). Households were the principal applicants for the LAV service for the three years. Their cumulative revenue amounted to 22,663,120 FCFA (≈ 34 600 €). Factors influencing demand for the LAV service were residence, level of education, income level, and source of information. Conclusion: Center managers will need to adjust revenue targets by considering demand factors for preventive care services.


Subject(s)
Delivery of Health Care , Dengue , Disease Prevention , COVID-19 , Health Services , Emergencies , Pandemics
3.
Br J Med Med Res ; 2016; 13(7): 1-9
Article in English | IMSEAR | ID: sea-182587

ABSTRACT

Aim: To evaluate the sexual practices of undergraduate university students in the Niger Delta region of Nigeria in order to provide evidence for appropriate interventions. Study Design: A multi-stage random sampling design and stratified sampling proportionate to size was used to select study participants. Place and Duration of Study: The study was carried out in four out of the 18 public universities in the region between October and December 2013. Methodology: An anonymous questionnaire was administered to 828 students selected from four faculties and eight departments of the universities. Married students and those from departments of medical and health sciences were excluded. Data was analyzed using Epi Info ver. 6.04d software package. The Chi-square test was performed at 95% confidence level and p-value set at P=.05. Results: A total of 391(47.2%) males and 437 (52.8%) females participated in the study. The majority of the students 444(53.6%) were in sexual relationships: 150 (33.8%) males and 294 (66.2%) females. Of these, 358 (80.6%) had had an HIV test and knew their HIV status: males 125 (34.9%) and females 233 (65.1%), but only 280(63.1%) had knowledge of the HIV status of their sexual partners: males 93(33.2%) and females 187 (66.8%). More females than males knew their HIV status and those of their sex partners (p=.00). Similarly, only 216(48.6%) used condoms in their last casual sex, while only 145(32.7%) used condoms consistently with a non-regular partner: males 71(49.0%) and females 74(51.0%) respectively. Finally, less than half of the students 216(48.6%) were consistent with safer sex negotiation with their partners. Conclusion: The study highlights the occurrence of high sexual risk behaviours among undergraduate university students. We advocate the inclusion of sexuality education in the General Studies curriculum for students and the provision of accessible Sexually Transmitted Infection services through youth-friendly channels, like Youth Friendly Centres.

4.
Article in English | IMSEAR | ID: sea-153465

ABSTRACT

Aims: Female genital mutilation is a harmful traditional practice which is an infringement on the sexual and reproductive rights of women and girls and has profound psychosocial as well as reproductive health morbidities. This study aimed at measuring the change in the incidence of the female genital mutilation in Port Harcourt, South-South Nigeria. Study Design: A cross-sectional study. Place and Duration of Study: Department of ObstetricGynaecology of the University Port Harcourt Teaching Hospital (UPTH) between 1st January and 31st January 2009. Methodology: Five hundred clients were selected randomly and agreed to participate in the study. They were interviewed using a structured questionnaire and examined clinically. Data management was with SPSS 15.0 for Windows statistical software. Results: The prevalence of female genital mutilation (FGM) was 34%. Four hundred and eighty one (96.2%) were aware of female circumcision generally. Ninety five (55.8%) of those circumcised, had it done in infancy. Thirty seven percent of the practitioners of female circumcision were traditional birth attendants while 14.7% were trained health professionals. The commonest reason for female circumcision included reduction of sexual passion/promiscuity and conformity with tradition. Type 1 female genital mutilation was the commonest (58.2%). Among those clients aged 50 years and above, 78.8% had FGM while 9.1% of those aged 10 – 19 years had FGM. This showed a downward trend. Conclusion: Female circumcision is a harmful traditional practice which has remained a serious health problem. Its prevalence is still high in our environment. This study suggests that it is on a downward trend.

5.
The Nigerian Health Journal ; 14(3): 24-33, 2014.
Article in English | AIM | ID: biblio-1272863

ABSTRACT

BACKGROUND AIDS is one of the important health problems facing developing countries particularly in sub-Saharan Africa. It constitutes a major public health threat responsible for morbidity and mortality in these areas. It is a debilitating disease of profound immunosuppression produced by chronic infection with human immunodeficiency virus (HIV) and if not treated exposes the person to a myriad of opportunistic infections. HIV/AIDS is generally regarded as a social disease because of its mode of transmission and the associated lifestyle involved. The study was designed to evaluate the socio-economic profile of People Living with HIV/AIDS (PLWAs) in Port Harcourt; Rivers State; Nigeria. METHODS.Structured questionnaires were used to collect socio-economic characteristics of demographic information from recruited participants who were attendees of HIV adult clinics at two hospitals in Port Harcourt; Nigeria. RESULT.A total of 145 people completed the study. There were 46 (31.7%) males and 99 (68.3%) females. Data collected showed that age; sex; marital status; education are important factors associated with the characteristics of people living with HIV!AIDS in Port Harcourt; Nigeria. CONCLUSION.There is need for continuous evaluation/monitoring of these characteristics in PLWHA to assess the improvement of socio-economic factors that influence HIV spread in the environment


Subject(s)
Acquired Immunodeficiency Syndrome , HIV Infections , Socioeconomic Factors , Sociological Factors
7.
J. venom. anim. toxins incl. trop. dis ; 19: 1-8, maio 2013. tab, graf
Article in English | LILACS | ID: lil-686611

ABSTRACT

Background: Venomous snakes are among the most serious health hazards for rural people in tropical regions of the world. Herein we compare the monthly activity patterns of eight venomous snake species (Elapidae and Viperidae) with those of rural people in the Niger Delta area of southern Nigeria, in order to identify the periods of highest potential risk for persons, and the human group actually at greater risk of snakebite. Results: We documented that above-ground activity of all venomous snakes peaked in the wet season, and that high snake activity and high human activity were most highly correlated between April and August. In addition, we documented that women and teenagers were at relatively higher risk of encountering a venomous snake than adult males, despite they are less often in the field than men. Conclusions: Our results suggest that future programs devoted to mitigate the social and health effects of snakebites in the Niger Delta region should involve especially women and teenagers, with ad-hoc education projects if appropriate. We urge that international organizations working on social and health problems in the developing world, such as IRD, DFID, UNDP, should provide advice through specific programs targeted at especially these categories which have been highlighted in comparatively potential higher threat from snakebites than adult men.(AU)


Subject(s)
Humans , Animals , Male , Female , Adolescent , Rural Population , Snake Bites/ethnology , Viperidae , Elapidae , Seasons , Nigeria
8.
Article in English | AIM | ID: biblio-1257759

ABSTRACT

Background: Approximately half of the earth's population in the rural areas of developing countries uses energy obtained from biomass burning, which is harmful to people. Objectives: This study is aimed at determining which respiratory symptoms can be associated with biomass burning amongst fish smokers in the Oyorokoto fishing settlement. Method: A community-based, cross-sectional questionnaire, which employed a modified cluster sampling technique, was used. Results: A total of 300 subjects were recruited for the study, of which 210 (70%) were fish smokers. The mean age was 31.46 ± 13.03 years, with the majority (42.0%) having only primary school education. The prevalence of respiratory symptoms amongst the subjects was 86.7%, the most frequent of which were catarrh (30.48%) and a cough (28.57%). The respiratory symptom occurring least frequently was breathlessness (2.38%). The symptoms most often experienced during fish smoking were those of catarrh (75.5%) and sneezing (73.0%), whereas breathlessness occurred the least, in only 7 (3.3%) of the participants. Sneezing stopped in 64.2% of the subjects after fish smoking had ceased. Most of the fish smoking took place indoors. Conclusion: Health promotion featuring preventive interventions, such as the wearing of face-masks and the use of modern fish smoking methods, which is associated with fewer health risks, is essential to improving the quality of life of fish smokers. The government's provision of certain social services, including better education opportunities for the young, is advocated, and should be especially targeted at improving the lot of the girl child


Subject(s)
Asthma , Biomass , Female , Fisheries , Nigeria , Prevalence , Rural Population , Signs and Symptoms, Respiratory
9.
Niger. j. med. (Online) ; 19(2): 168-172, 2010.
Article in English | AIM | ID: biblio-1267332

ABSTRACT

Background:Sexuality education is the process of acquiring information and forming attitudes and beliefs about sex; sexual identity; relationships and intimacy. It develops young people's skills so that they make informed choices about their behaviour; and feel confident and competent about acting on these choices. It also equips children to face developmental challenges and empowers them against the ills of abuse; exploitation; unwanted pregnancies amongst others. Mothers who are the primary caregivers should be well informed about sexuality issues. The objective of the study is to determine mothers' perception of sexuality education in children; in PortHarcourt. Methodology:A structured; anonymous and selfadministered questionnaire; used as instrument for data collection; was distributed amongst a convenient sample of women attending a Christian women's convention in Port Harcourt. Results:One hundred and fifty eight women participated in the study. Most of them were married (80.4); and belonged to the 30-49 years age bracket. Seventy one (44.9) of the respondents had tertiary education. Over 80agreed that children needed sexuality education but only 15 women (9.5) had a good knowledge of the concept of sexuality education. One hundred and eleven (70.2) believed it was the responsibility of both parents to educate their children and over 70acknowledged that the home was the best place for such education. 64 (40.5) believed that 6-10 years was the ideal age for starting sex education while 49thought that the ideal age was 11-15 years. 65of respondents discussed sexuality issues with their children at least occasionally; the content mostly involved description of body parts and reproductive organs. The average age of menarche amongst respondents was 14.0. One hundred (63) of the women had prior knowledge of menstruation before menarche. About half of them had received information from their mothers. Conclusion:The study highlights the need for enlightenment of women on sexuality education to enable them empower their children against the ills of child abuse


Subject(s)
Health Education , Mothers , Sexuality
10.
Niger. j. med. (Online) ; 19(2): 168-172, 2010.
Article in English | AIM | ID: biblio-1267343

ABSTRACT

Sexuality education is the process of acquiring information and forming attitudes and beliefs about sex; sexual identity; relationships and intimacy. It develops young people's skills so that they make informed choices about their behaviour; and feel confident and competent about acting on these choices. It also equips children to face developmental challenges and empowers them against the ills of abuse; exploitation; unwanted pregnancies amongst others. Mothers who are the primary caregivers should be well informed about sexuality issues. The objective of the study is to determine mothers' perception of sexuality education in children; in Port Harcourt.A structured; anonymous and selfadministered questionnaire; used as instrument for data collection; was distributed amongst a convenient sample of women attending a Christian women's convention in Port Harcourt.One hundred and fifty eight women participated in the study. Most of them were married (80.4); and belonged to the 30-49 years age bracket. Seventy one (44.9) of the respondents had tertiary education. Over 80agreed that children needed sexuality education but only 15 women (9.5) had a good knowledge of the concept of sexuality education. One hundred and eleven (70.2) believed it was the responsibility of both parents to educate their children and over 70acknowledged that the home was the best place for such education. 64 (40.5) believed that 6-10 years was the ideal age for starting sex education while 49thought that the ideal age was 11-15 years. 65of respondents discussed sexuality issues with their children at least occasionally; the content mostly involved description of body parts and reproductive organs. The average age of menarche amongst respondents was 14.0. One hundred (63) of the women had prior knowledge of menstruation before menarche. About half of them had received information from their mothers. The study highlights the need for enlightenment of women on sexuality education to enable them empower their children against the ills of child abuse


Subject(s)
Child , Mothers , Sex Education
11.
Niger. j. surg. sci ; 20(2): 55-60, 2010.
Article in English | AIM | ID: biblio-1267557

ABSTRACT

The aim is to ascertain the pattern and frequency of vulval tumours as seen at the University of Port Harcourt Teaching Hospital. Forty (40) vulval tumours were used for the study. Twenty nine (72.5) were benign and eleven (27.5) were malignant. Patients of age 50 years and above were most affected 24(60). The most common clinical presentation was elevated and ulcerated plaques9 (22.5). Condyloma accummatum was the most common benign tumour while squamous cell carcinoma was the most common malignant tumour. It is concluded that vulval tumours are rare in this environment and that the malignant variants present at advanced stage of the disease in later ages. They constitute a remarkable morbidity and mortality especially in the obese and chronically ill menopausal women


Subject(s)
Signs and Symptoms , Vulvar Neoplasms/classification , Vulvar Neoplasms/etiology
12.
port harcourt med. J ; 4(3): 288-293, 2010.
Article in English | AIM | ID: biblio-1274137

ABSTRACT

Background: Sexual abuse in children is a significant public health problem and represents the least reported but the most devastating major form of child abuse all over the world. Aim: To evaluate the knowledge and perception of child sexual abuse among Christian women in Port Harcourt. Methods: This study was conducted among women attending a Christian women convention. Using a structured; anonymous and self-administered questionnaire; data collected included bio data; awareness information; response and practices. Data was entered into a Microsoft Excel Spread sheet and analysed using descriptive statistics. Results: One hundred and fifty-eight women participated in the study of whom 127 (80.4) were married and 51 (32.3) belonged to the 30-39 years age bracket. Twenty-two (13.9) respondents had never heard about sexual abuse in children; whilst 70 of them (44.2) knew that under-five children can also be victims. Forty four percent of the respondents believed the abuser is not someone closely related to the child. In case of rape; seeking medical care will be the first line of action for 119 (75) respondents and only 55 (34.7) will report the case to the police. Unwanted pregnancy was the single most quoted consequence of child sexual abuse; shame and stigmatization the greatest challenges faced by the family. Conclusion: The study shows that mothers who should play a major role in the prevention of sexual abuse in children have poor knowledge about the topic. There is therefore need for awareness/enlightenment campaigns about child sexual abuse targeted at parents; especially mothers


Subject(s)
Child Abuse , Knowledge , Mothers , Perception
13.
port harcourt med. J ; 5(1): 71-76, 2010. tab
Article in English | AIM | ID: biblio-1274148

ABSTRACT

Background: The noncompulsory nature of health education as a subject in some teacher training colleges and the generalists' position of teachers in primary schools raise concern over the teachers' health knowledge and the accuracy of health information that pupils are given. Aim: The study was undertaken to evaluate the health knowledge of primary school teachers and to assess the effect of short term training on their health knowledge. Methods: This was a school-based intervention study carried out in June 2006. Health knowledge of all teachers from the 20 public primary schools in Bonny Local Government Area of Rivers State was assessed before and after a workshop on school health using a health knowledge assessment test. Scores of 50and more were regarded as pass. Data was analyzed using SPSS version 11 software. Test for statistical significance was done using Chi-square test and student t-test. P value less than 0.05 was regarded as statistically significant. Results: Twenty nine of the 100 participants (29) passed the pre-test. These were holders of University degrees [13 (56.5)]; National Certificate of Education [13 (28.3)] and Teachers' Grade II Certificate (TCII) [3(10)]. Post workshop; health knowledge improved across board as all the teachers passed (p=0.000). Conclusion: The health knowledge of school teachers from public primary schools in Bonny local government area is low. This was worse among those with lower academic qualifications (TCII and below). However this improved following a short term training workshop


Subject(s)
Government , Health/education , Knowledge , Schools
14.
port harcourt med. J ; 3(2): 230-234, 2009.
Article in English | AIM | ID: biblio-1274110

ABSTRACT

Background: Acute lymphoblastic leukaemia (ALL) is known to be the most common malignancy in children. However; the true incidence of familial ALL is not known; coupled with scanty data on familial ALL in the Niger Delta Area of Nigeria. Aim: To present a report of the management two cases of ALL from the same parents; whose sibling also died as a diagnosed case of ALL. Case report: The first case was a 30-month female who presented with recurrent febrile illness; repeated blood transfusions and hospitalizations in several private hospitals before being referred to the Department of Paediatrics and Child Health; University of Port Harcourt Teaching Hospital; Port Harcourt. A diagnosis of ALL type 1 was made. She was managed with cyclophosphamide; oncovin; methotrexate and prednisolone (COMP). Induction regimen; antimalarials and transfusion of sedimented red blood cells for severe anaemia were administered. There was remission before the child was lost to follow-up. The second case was a 15-month female sibling of the first case who presented essentially with severe anaemia; generalized weakness; repeated blood transfusions; peripheral lymphadenopathy and a non-tender hepatomegaly. Bone marrow aspiration showed features also suggestive of ALL type 2 variant with over 30abnormal lymphoblastic and leukaemic cell infiltrate. She was subsequently put into remission through an induction regimen of COMP plus intrathecal methotrexate and Hydrocortisone. She however relapsed and died 8 months from the time of presentation. Conclusion: Familial ALL in siblings is reported. The interplay of the associated risk factors of genetic; parental; socio-economic and environmental influences on the incidence of familial leukaemia in this environment is discussed


Subject(s)
Child , Precursor Cell Lymphoblastic Leukemia-Lymphoma , Risk Factors , Siblings
16.
Article in French | AIM | ID: biblio-1257405

ABSTRACT

Objectif Evaluer la fréquence des complications de l'épaule de l'hémiplégique vasculaire et identifier les facteurs associés à ces complications Méthodes C'est une étude prospective réalisée entre Juin et Octobre 2005 au Centre hospitalo-universitaire de Cocody (Abidjan, Cote d'Ivoire). Elle concerne des patients admis en consultation de rééducation fonctionnelle (RF) ou en hospitalisation de neurologie.Résultats Cinquante patients âgés en moyenne de 56,6 ± 13,4 ans (extrêmes de 29 et 85 ans) avec un sexe ratio de 1,17 en faveur des femmes, recrutés le plus souvent en RF (60%) ont été inclus dans cette étude. Ils avaient un accident vasculaire cérébral (AVC) principalement ischémique (72%), qui évoluait en moyenne depuis 11,3 ± 12,9 semaines. Parmi eux 28 (56%) avaient une complication de l'épaule qui était : une douleur (DL, n=25), un syndrome épaule-main (SEM, n=10) ou une subluxation (SUB, n=18). Ces complications étaient associées dans 46,4% des cas. Ces patients étaient plus âgés, avaient un AVC plus ancien, un index moteur du membre supérieur plus faible mais un niveau d'autonomie globale semblable à celui des patients sans complications. Ni l'âge, ni la durée d'évolution de l'AVC n'était différent selon le type de complication diagnostiqué. La fonctionnalité était associé à la SUB (dans 72,2% des SUB le Frenchay arm test était égal à 0 vs 37,5% chez les patients sans SUB p=0,02) tandis que le tonus des adducteurs du bras était associé à la DL (dans 40% des DL le tonus des adducteurs était égal à 1 vs 84% chez les patients ne présentant pas de DL p=0,006).Conclusion L'épaule douloureuse de l'hémiplégique est donc une complication fréquemment retrouvée dans notre étude. Des études ultérieures seront utiles pour conforter la fréquence de ces complications, l'impact des différents facteurs qui semblent s'y associer et analyser les possibilités de prise en charge tant curative que préventive dans notre milieu


Subject(s)
Cote d'Ivoire , Hemiplegia , Joints , Shoulder Joint , Shoulder Pain , Stroke
17.
port harcourt med. J ; 3(1): 55-61, 2008.
Article in English | AIM | ID: biblio-1274085

ABSTRACT

Background: Hepatitis C virus (HCV) infection is now a pandemic; with most of those infected thought to be in developing countries; including sub-Saharan Africa. HCV has emerged as the most important cause of chronic liver disease worldwide and an important cause of acute hepatitis and jaundice in pregnancy; with its attendant serious complications. Aim: To provide some preliminary data on HCV epidemiology in pregnant women in Port Harcourt; Nigeria. Methods: Serial recruitment of 600 patients attending the ante-natal clinic of the University of Port Harcourt Teaching Hospital; Port Harcourt; Nigeria was carried out. HCV testing was done using a rapid ELISA kit. The results are reported as percentages of the total study population. Differences between the groups were compared using the chi-squared test and p0.05 was regarded as statistically significant. Results: Of the 600 subjects; 26 (4.3) tested positive to anti-HCV. Previous histories of blood transfusion; dental manipulations; tattooing and circumcision did not appear to be important modes of transmission of HCV in this locality. Conclusion: HCV infection is fairly common among pregnant women in Port Harcourt; Nigeria. It is sug- gested that in addition to improved compliance with universal safety precautions; ante-natal patients and healthcare staff should be routinely screened for their HCV status in order to reduce vertical transmission of HCV and transmission between patients and health staff


Subject(s)
Pregnant Women
18.
port harcourt med. J ; 2(1): 88-89, 2007.
Article in English | AIM | ID: biblio-1274038

ABSTRACT

Background: The concentration of human immune deficiency virus (HIV) in the saliva of a carrier is low. As a result; human bite is not considered the traditional route of HIV infection transmission.Aim: To report a case of HIV sero-positivity following a human bite. Setting: University of Port Harcourt Teaching Hospital; Port Harcourt.Case report: A 30-year-old HIV sero-negative woman who became sero-positive following a bite by a known HIV infected commercial sex worker is presented. Both were engaged in a physical fight over a disagreement.Conclusion: This case highlights the possibility of HIV infection through human bite


Subject(s)
Bites and Stings , HIV Infections/transmission , Humans , Saliva
19.
Afr. j. health sci ; 13(3-4): 13-17, 2006.
Article in English | AIM | ID: biblio-1257011

ABSTRACT

Since the early days of antiretroviral therapy; adherence has emerged a milestone to success. The objective of this study was to evaluate the factors militating against adherence to antiretroviral therapy among HIV-infected individuals in the resource - limited setting of the Niger Delta of Nigeria. A structured interviewer- administered questionnaire from consecutively recruited 187 HIV-infected patients on combination antiretroviral therapy of two-nucleoside analogue; stavudine and lamivudine and one non-nucleoside (nevirapine) was used. Association between the independent variables and adherence were analyzed using chi square analysis. This study observed an adherence level of 49.2and identified the following as factors associated with nonadherence: cost of antiretrovirals; educational status; medication adverse effect; occupational factors; and high pill burden of prescribed regimen (p 0.05). There is an urgent need for universal access and sustainability of antiretroviral therapy particularly in resource - limited settings. There is need for supervised medication delivery. Efforts should be made towards simplifying the therapeutic regimen to reduce the pill burden and substitution with treatment combination and strategies that minimize negative adverse effects; coupled with the re-intensification of patient's education and counseling


Subject(s)
HIV Infections , Patient Compliance
20.
Niger. j. med. (Online) ; 15(1): 44-48, 2006. tab
Article in English | AIM | ID: biblio-1267166

ABSTRACT

BACKGROUND: The aim of the study was to determine the Sero-Prevalence of HIV antibodies in pregnant women attending the antenatal clinic at the University of Port Harcourt Teaching Hospital, Port Harcourt.METHOD:Serial recruitment of 600 women who attended the antenatal clinic. HIV screening was done by rapid ELISA technique. Positive samples were re-tested with a second rapid ELISA kit, with only samples sero-positive with both kits being taken as trulysero-positive.RESULTS:The sero-positivity rate was 7.3%, sixty-nine point seven percent (69.7%) of all sero-positive cases were primiparae, with 84% in advanced stages of pregnancy (2nd and 31rd trimesters). History of blood transfusion, dental manipulations, tattooing and circumcision did not contribute significantly to increased HIV sero-positivity.CONCLUSION:There is high HIV sero-positivity rate among pregnant women attending antenatal clinic in Port Harcourt. The implications of this finding in relation to vertical transmission, transmission of nosocomial infection and increased occupational exposure of laboratory and hospital staff to HIV infection is discussed. Compulsory routine screening of all pregnant women attending antenatal clinics in Sub-Saharan Africa is advocated

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